![]() ![]() Thromboembolic complications after cardioversion of acute atrial fibrillation: the FinCV (Finnish CardioVersion) study. * Airaksinen KE, Gronberg T, Nuotio I, et al. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Emergency department patients with atrial fibrillation or flutter and an acute underlying medical illness may not benefit from attempts to control rate or rhythm. * Scheuermeyer FX, Pourvali R, Rowe BH, et al. Increasing prevalence of atrial fibrillation and flutter in the United States. Key Referencesįollowing are the most informative references cited in this paper, as determined by the authors.ġ. Subscribe for full access to all Tables and Figures. This review includes evidence-based recommendations on rate versus rhythm control, discusses pharmacologic versus electrical cardioversion, evaluates thromboembolic risk, and provides options for anticoagulation. Electrocardiogram findings may be subtle at times, but prompt diagnosis is needed to maximize good outcomes, especially when patients are cardiovascularly compromised. Atrial fibrillation and its associated comorbidities also carry significant healthcare cost. In patients aged >65 years, the incidence approaches 10%, and the number of patients with atrial fibrillation is expected to almost double in the next 30 years. One-Year Cumulative Thromboembolic Risk, Stratified by Men and WomenĪtrial fibrillation is the most common dysrhythmia encountered in the emergency department. Electrocardiogram of Atrial Fibrillation with Wolff-Parkinson-White Syndrome Electrocardiogram of Atrial Fibrillation With Rapid Ventricular Response Multifocal Atrial Tachycardia on Electrocardiogram Rhythm Strips of Atrial Fibrillation and Atrial Flutter Strategy for Cardioversion Based on the Ottawa Aggressive Protocol Rate Control Therapies for Atrial Fibrillation in the Emergency Department Factors Favoring Rhythm Control Over Rate Control Historical Elements That Can Help Identify Underlying Etiology of Atrial Fibrillation/Atrial Flutter ![]()
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